Individual
AMALIA DE JESUS FONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5015 LOUETTA RD, #732, SPRING, TX 77379
(908) 494-8564
Mailing address
5015 LOUETTA RD, #732, SPRING, TX 77379-8163
(908) 494-8564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108360
TX
Other
Enumeration date
12/20/2013
Last updated
10/17/2022
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